Organization
HEALTHY MIND PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID V KOTARSKY PHD (OWNER)
(740) 325-1199
Entity
Organization
Contact information
Practice address
3201 BELMONT ST, SUITE 716, BELLAIRE, OH 43906-1584
(740) 325-1199
(855) 737-2544
Mailing address
PO BOX 96, MC CLELLANDTOWN, PA 15458-0096
(412) 582-6296
(855) 737-2544
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
6726
OH
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3134021
—
OH
01
—
6726
LICENSE
OH
Enumeration date
08/18/2011
Last updated
05/04/2023
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